Samantha Stanfield Smith, PT, MHS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012235 Issued in GA

Practice address

3355 Saxony GLN
Marietta, GA 30066-4797

Phone

(864) 979-8826

NPI assigned

Nov 23, 2011

Last updated

Jan 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1508133216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 SAXONY GLN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664797",
            "telephone_number": "864-979-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 SAXONY GLN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664797",
            "telephone_number": "864-979-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAMANTHA",
        "middle_name": "STANFIELD",
        "credential": "PT, MHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1204203",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "012235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randolph Quin Smith, PROFESSIONAL COUNSEL
• Rebecca Anne Smith, ATC
• Rebekah Smith
• Renee Jodian Smith, NP
• Rhonda Lynn Smith, CRNA
• Shaquana Smith
• Somer Wright Smith, M.S., CCC-SLP
• Tameka Rochella Smith, RBT
• Tiffany Bentley Smith, AGACNP
• Wendy N Smith, RPSGT, CCSH

• Physical Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.